Individual
MRS. BRANDICE A ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11508 HIGHWAY 49 N, MARMADUKE, AR 72443-9558
(870) 597-1319
(870) 597-1320
Mailing address
11508 HIGHWAY 49 N, MARMADUKE, AR 72443-9558
(870) 597-1319
(870) 597-1320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03412 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186489759
—
AR
Enumeration date
08/23/2010
Last updated
10/28/2013
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